Billing & Credentialing Services
Billing & Credentialing Services
Are you a solo practitioner? A small group practice?
Are you feeling frustrated and confused by third-party payments? insurance lingo? hold times? Do you feel your claims go down a rabbit hole never to be seen again? Does secondary insurance make your hair stand on end?
Do you want to spend your time with your clients and doing the clinical work you love?
Do you want to free up time in your work week?
Give your headaches to us by
letting us take on your billing needs…
- Manage client insurance
- Verification of Benefits for new clients
- Review active client plans for annual renewals and terminations
- Ongoing monitoring of deductibles, copayments, coinsurance
- Obtain any prior authorizations needed
- Timely filing of claims for primary and secondary insurance, using both electronic and paper claims
- Process, post and reconcile insurance reimbursements and copayments/deductibles according to your EHR or bookkeeping system
- Identify, track and resolve unpaid submitted claims that are aging claims
- Investigate and process refund requests/claw backs from insurances
- Payment Information
- Solo Practice with EHR Full Time/Part Time
- Solo Practice with no EHR Full time/Part Time
- Group Practice with EHR (Small up to 400 claims/month)
- Group Practice with EHR (Med 400 to 1000 claims/month)
- Package Options:
- Set up fee
- Packages according to frequency of services and number of services
- Basic Package
- A La Carte
For more information please reach out to Eugene Grossguth at 401 484 7722
Additional Services
- Ensure incoming clients complete all required documentation prior to intake visit, including payment information.
- Collection from clients with balances due (we create a process with you)
- Monitor and report any clients with no activity in 60 days
- Send Intake letter to client informing them of insurance benefits and their financial responsibility, date of their intake appointment and clinician’s contact information.
- Send “No Surprises” Act letter to private pay clients prior to Intake
- Periodic credentialing of a new clinician
- Quarterly attestations for each paneled insurance companyList Item
